Active NPI
Audra Perez
- Clinical Social Worker
- Lakewood, CO
National Provider Identifier
1982266128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9920367
- Practice address
- 1750 Pierce Street Suite C
Lakewood, CO 80214 - Phone
- (303) 641-6417
- NPI assigned
- Jul 8, 2019
- Last updated
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9920367 | CO | Primary |
Addresses
Primary practice location
1750 Pierce Street Suite C
Lakewood, CO 80214
Mailing address
619 12TH St Unit 348
Golden, CO 80402-4312
Phone (303) 641-6417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9920367 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1982266128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 12TH ST UNIT 348",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804024312",
"telephone_number": "303-641-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 PIERCE STREET SUITE C",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80214",
"telephone_number": "303-641-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AUDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "9920367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.